VaccineGuide.ca

Routine childhood vaccine

4-in-1 preschool booster

Tdap-IPV reinforces protection against tetanus, diphtheria, whooping cough and polio after the infant series.

The essentials

Usual timing
From age 4, within the 4–6-year routine window
How to get it
Ask a primary care provider or public health unit about local appointments and funding.

Tdap-IPV reinforces protection against tetanus, diphtheria, whooping cough and polio after the infant series. It is usually given at the same visit as MMRV.

School status

All four diseases are on Ontario’s school-required list, unless a valid exemption applies.

How Ontario school requirements work →

Side effects & precautions

Soreness, redness, swelling or fever can occur. A larger local swelling sometimes follows a booster. Side-effect guidance

A severe allergic reaction is rare. Tell the vaccinator about a severe previous reaction or a neurological condition so the appropriate product and timing can be reviewed.

Call 911 for trouble breathing or swelling of the tongue or throat. Not sure whether a reaction is expected? Contact a healthcare provider or call 811 for advice. Seek care promptly if symptoms are worrying or getting worse.

Useful to know

If the earlier series is incomplete

The routine booster is not a catch-up plan. A provider must check previous doses and spacing before deciding what to give.

What is in it?

This vaccine contains no live germs. “IPV” means inactivated polio vaccine. The Tdap booster given later does not include polio. Vaccine components

Ingredients & more detail

Check the exact product

Ask the clinic for the product name. Its official Canadian product information (product monograph) lists ingredients, packaging, side effects and precautions. This page is a short overview, not a complete safety list.

Find a product in Health Canada’s Drug Product Database

Boostrix-Polio — Canadian product monograph (PDF). This is one product example; confirm which product the clinic uses.

Your next step

Bring the immunization record and a list of questions to the visit. Ask which doses count, what comes next and how to report new doses to public health.

Missing records or doses? →

Sources and references (6)

Program details can change. How this guide is reviewed